Почему педиатра интересует вопрос, родился ли ребенок естественным путем или с помощью операции кесарева сечения?
Почему педиатра интересует вопрос, родился ли ребенок естественным путем или с помощью операции кесарева сечения?
Захарова И.Н., Оробинская Я.В., Бережная И.В., Сугян Н.Г., Дедикова О.В., Малявская С.И., Курбакова Д.М. Почему педиатра интересует вопрос, родился ли ребенок естественным путем или с помощью операции кесарева сечения? Педиатрия. Consilium Medicum. 2024;1:8–14. DOI: 10.26442/26586630.2024.1.202613
Zakharova IN, Orobinskaya YaV, Berezhnaya IV, Sugian NG, Dedikova OV, Malyavskaya SI, Kurbakova DM. Why does it matter to the pediatrician whether the baby was born naturally or by Cesarean section? A review. Pediatrics. Consilium Medicum. 2024;1:8–14. DOI: 10.26442/26586630.2024.1.202613
Почему педиатра интересует вопрос, родился ли ребенок естественным путем или с помощью операции кесарева сечения?
Захарова И.Н., Оробинская Я.В., Бережная И.В., Сугян Н.Г., Дедикова О.В., Малявская С.И., Курбакова Д.М. Почему педиатра интересует вопрос, родился ли ребенок естественным путем или с помощью операции кесарева сечения? Педиатрия. Consilium Medicum. 2024;1:8–14. DOI: 10.26442/26586630.2024.1.202613
Zakharova IN, Orobinskaya YaV, Berezhnaya IV, Sugian NG, Dedikova OV, Malyavskaya SI, Kurbakova DM. Why does it matter to the pediatrician whether the baby was born naturally or by Cesarean section? A review. Pediatrics. Consilium Medicum. 2024;1:8–14. DOI: 10.26442/26586630.2024.1.202613
Кесарево сечение – одна из самых распространенных операций в акушерстве и гинекологии. Однако, несмотря на широкое использование этой процедуры, она не лишена определенных рисков не только для матери, но и для ребенка. В результате операции кесарева сечения (КС) новорожденные не получают целый ряд важных микроорганизмов при прохождении родовых путей матери, что может привести к нарушению развития и функционирования микробной экосистемы ребенка. Микробиота кишечника играет важную роль в поддержании здоровья человека. Она способствует пищеварению, укреплению иммунной системы и синтезу некоторых витаминов. Исследования последних лет показывают, что кишечная микробиота детей, рожденных при помощи КС, отличается от той, которая формируется у детей, рожденных естественным путем. В статье рассмотрим последствия этого различия для здоровья детей, а также возможности коррекции состава кишечной микробиоты у детей после КС. Понимание механизмов формирования и функционирования кишечной микробиоты у этих детей может помочь разработать эффективные стратегии профилактики и лечения различных заболеваний, связанных с нарушением баланса кишечной микробиоты.
Cesarean section is one of the most common operations in obstetrics and gynecology. However, despite the widespread use of this procedure, it is associated with certain risks for the mother and the child. As a result of cesarean section (CS), newborns do not acquire some important microorganisms during the passage of the maternal birth canal, which can impact the development and alter the functioning of the microbial ecosystem of the child. The gut microbiota plays an essential role in maintaining human health. It promotes digestion, strengthens the immune system, and produces some vitamins. Recent studies show that the intestinal microbiota of children born with CS differs from that of children born naturally. This article addresses the consequences of this difference on children's health and available ways of correcting the intestinal microbiota composition in children born via CS. Understanding the mechanisms of gut microbiota formation and function in these children can help develop effective strategies to prevent and treat various diseases associated with gut microbiota imbalance.
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4. Long Q, Kingdon C, Yang F, et al. Prevalence of and reasons for women’s, family members’, and health professionals’ preferences for cesarean section in China: A mixed-methods systematic review. PLoS Med. 2018;15(10): e1002672. DOI:10.1371/journal.pmed.1002672
5. Yasseen III AS, Bassil K, Sprague A, et al. Late preterm birth and previous cesarean section: a population-based cohort study. J Matern Fetal Neonatal Med. 2019;32(14):2400‑7. DOI:10.1080/14767058.2018.1438397
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1. Isenova SSh, Bodykov GZh, Kabyl BK, et al. Features of cesarean section at the present stage. Vestnik KazNMU. 2019;1:13‑6 (in Russian).
2. Antoine C, Young BK. Cesarean section one hundred years 1920‑2020: the Good, the Bad and the Ugly. J Perinat Med. 2020;49(1):5‑16. DOI:10.1515/jpm‑2020‑0305
3. Bhatia M, Banerjee K, Dixit P, Dwivedi LK. Assessment of Variation in Cesarean Delivery Rates Between Public and Private Health Facilities in India from 2005 to 2016. JAMA Netw Open. 2020;3(8): e2015022. DOI:10.1001/jamanetworkopen.2020.15022
4. Long Q, Kingdon C, Yang F, et al. Prevalence of and reasons for women’s, family members’, and health professionals’ preferences for cesarean section in China: A mixed-methods systematic review. PLoS Med. 2018;15(10): e1002672. DOI:10.1371/journal.pmed.1002672
5. Yasseen III AS, Bassil K, Sprague A, et al. Late preterm birth and previous cesarean section: a population-based cohort study. J Matern Fetal Neonatal Med. 2019;32(14):2400‑7. DOI:10.1080/14767058.2018.1438397
6. Sotiriadis A, Makrydimas G, Papatheodorou S, et al. Corticosteroids for preventing neonatal respiratory morbidity after elective caesarean section at term. Cochrane Database Syst Rev. 2018;8(8): CD006614. DOI:10.1002/14651858.CD006614.pub3
7. Bäckhed F, Roswall J, Peng Y, et al. Dynamics and Stabilization of the Human Gut Microbiome during the First Year of Life. Cell Host Microbe. 2015;17(5):690‑703. DOI:10.1016/j.chom.2015.04.004
8. Koleva PT, Kim JS, Scott JA, Kozyrskyj AL. Microbial programming of health and disease starts during fetal life. Birth Defects Res C Embryo Today. 2015;105(4):265‑77. DOI:10.1002/bdrc.21117
9. Larabi A, Barnich N, Nguyen HTT. New insights into the interplay between autophagy, gut microbiota and inflammatory responses in IBD. Autophagy. 2020;16(1):38‑51. DOI:10.1080/15548627.2019.1635384
10. Zhou GQ, Huang MJ, Yu X, et al. Early life adverse exposures in irritable bowel syndrome: new insights and opportunities. Front Pediatr. 2023;11:1241801. DOI:10.3389/fped.2023.1241801
11. Espírito Santo C, Caseiro C, Martins MJ, et al. Gut Microbiota, in the Halfway between Nutrition and Lung Function. Nutrients. 2021;13(5):1716. DOI:10.3390/nu13051716
12. Asadi A, Shadab Mehr N, Mohamadi MH, et al. Obesity and gut-microbiota-brain axis: A narrative review. J Clin Lab Anal. 2022;36(5): e24420. DOI:10.1002/jcla.24420
13. Sorboni SG, Moghaddam HS, Jafarzadeh-Esfehani R, Soleimanpour S. A Comprehensive Review on the Role of the Gut Microbiome in Human Neurological Disorders. Clin Microbiol Rev. 2022;35(1): e0033820. DOI:10.1128/CMR.00338‑20
14. Vallès Y, Artacho A, Pascual-García A, et al. Microbial succession in the gut: directional trends of taxonomic and functional change in a birth cohort of Spanish infants. PLoS Genet. 2014;10(6): e1004406. DOI:10.1371/journal.pgen.1004406
15. Ihekweazu FD, Versalovic J. Development of the Pediatric Gut Microbiome: Impact on Health and Disease. Am J Med Sci. 2018;356(5):413‑23. DOI:10.1016/j.amjms.2018.08.005
16. Funkhouser LJ, Bordenstein SR. Mom knows best: the universality of maternal microbial transmission. PLoS Biol. 2013;11(8): e1001631. DOI:10.1371/journal.pbio.1001631
17. Collado MC, Rautava S, Aakko J, et al. Human gut colonisation may be initiated in utero by distinct microbial communities in the placenta and amniotic fluid. Sci Rep. 2016;6:23129. DOI:10.1038/srep23129
18. DiGiulio DB, Romero R, Amogan HP, et al. Microbial prevalence, diversity and abundance in amniotic fluid during preterm labor: a molecular and culture-based investigation. PLoS One. 2008;3(8): e3056. doi:10.1371/journal.pone.0003056
19. Moore RE, Townsend SD. Temporal development of the infant gut microbiome. Open Biol. 2019;9(9):190128. DOI:10.1098/rsob.190128
20. Azad MB, Konya T, Maughan H, et al; CHILD Study Investigators. Gut microbiota of healthy Canadian infants: profiles by mode of delivery and infant diet at 4 months. CMAJ. 2013;185(5):385‑94. DOI:10.1503/cmaj.121189
21. Chu DM, Ma J, Prince AL, et al. Maturation of the infant microbiome community structure and function across multiple body sites and in relation to mode of delivery. Nat Med. 2017;23(3):314‑26. DOI:10.1038/nm.4272
22. Browne HP, Shao Y, Lawley TD. Mother-infant transmission of human microbiota. Curr Opin Microbiol. 2022;69:102173. DOI:10.1016/j.mib.2022.102173
23. Mold JE, Michaëlsson J, Burt TD, et al. Maternal alloantigens promote the development of tolerogenic fetal regulatory T cells in utero. Science. 2008;322(5907):1562‑5. DOI:10.1126/science.1164511
24. Dominguez-Bello MG, Costello EK, Contreras M, et al. Delivery mode shapes the acquisition and structure of the initial microbiota across multiple body habitats in newborns. Proc Natl Acad Sci USA. 2010;107(26):11971‑5. DOI:10.1073/pnas.1002601107
25. Rutayisire E, Huang K, Liu Y, Tao F. The mode of delivery affects the diversity and colonization pattern of the gut microbiota during the first year of infants’ life: a systematic review. BMC Gastroenterol. 2016;16(1):86. DOI:10.1186/s12876‑016‑0498‑0
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1ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Минздрава России, Москва, Россия; 2ГБУЗ г. Москвы «Детская городская клиническая больница им. З.А. Башляевой Департамента здравоохранения г. Москвы», Москва, Россия; 3Поликлиника «Мама и малыш» ГАУЗ МО «Химкинская центральная клиническая больница», Химки, Россия; 4ГАУЗ МО «Химкинская центральная клиническая больница», Химки, Россия; 5ФГБОУ ВО «Северный государственный медицинский университет» Минздрава России, Архангельск, Россия
*zakharova-rmapo@yandex.ru
________________________________________________
Irina N. Zakharova*1,2, Yana V. Orobinskaya1,3, Irina V. Berezhnaya1,2, Narine G. Sugian1,4, Olga V. Dedikova1, Svetlana I. Malyavskaya5, Daria M. Kurbakova5
1Russian Medical Academy of Continuous Professional Education, Moscow, Russia; 2Bashlyaeva Children’s City Clinical Hospital of the Moscow City Health Care Department, Moscow, Russia; 3Mommy and Baby Outpatient clinic of Khimki Central Clinical Hospital, Khimki, Russia; 4Khimki Central Clinical Hospital, Khimki, Russia; 5Northern State Medical University, Arkhangelsk, Russia
*zakharova-rmapo@yandex.ru